GREENSBORO DANCE & DRAMA THERAPY NPI 1114697117

NPI Information

GREENSBORO DANCE & DRAMA THERAPY is a mental health counselor in Greensboro, NC. GREENSBORO DANCE & DRAMA THERAPY NPI is 1114697117. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4112 SPRING GARDEN ST STE B
GREENSBORO, NC
ZIP 27407-652
Phone: (336) 698-6723

The provider's authorized official is Angela Wiley .
The authorized official title is Owner and has the following contact phone number (336) 698-6723.

The CLIA number assigned to this NPI record is 34D2047795 - other - group home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2021 and was last updated on 9/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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